Organization Active NPI

First Step Direct Care, Inc

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Charlotte, NC
National Provider Identifier
1467592436
Registry record updated Jul 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
MHL060709 Issued in NC
Legal business name
FIRST STEP DIRECT CARE, INC
Practice address
320 Winding Canyon Dr
Charlotte, NC 28214-5013
Phone
(704) 395-2432
Fax
(704) 395-2432
NPI assigned
Feb 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Gwendolyn Lavern Graham
Title
Administrative Program Director
Phone
(803) 280-9263

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X MHL060709 NC Primary

Addresses

Primary practice location

320 Winding Canyon Dr
Charlotte, NC 28214-5013

Mailing address

PO Box 668683
Charlotte, NC 28266-8683
Phone (704) 395-2432

National Provider Directory

National Provider Directory
Tax ID family
First Step Direct Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185235200000",
    "number": "1467592436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 668683",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282668683",
            "telephone_number": "704-395-2432",
            "fax_number": "704-395-2432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 WINDING CANYON DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282145013",
            "telephone_number": "704-395-2432",
            "fax_number": "704-395-2432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST STEP DIRECT CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2007-07-24",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "GWENDOLYN",
        "authorized_official_middle_name": "LAVERN",
        "authorized_official_title_or_position": "ADMINISTRATIVE PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "803-280-9263"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL060709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.